Anticoagulants

Question 1

enoxaparin trade name

Answer 1

lovenox

Question 2

enoxaparin action

Answer 2

prevents conversion fibrinogen to fibrin, and prothrombin to thrombin by enhancing anti thrombin 3 which prevents formation blood clots. Lovenox treats/ prevents deep vein thrombosis.

binds to antithrombin 3 inactivating xa and ilia creating high ratio anti factor xa to IIa

Question 3

enoxaparin why use

Answer 3

prevent DVT, PE in post op patients, angina, MI, coronary artery thrombosis

Question 4

enoxaparin routes admin

Answer 4

SUBCUT, IV

Question 5

enoxaparin doses

Answer 5

1mg/kg q12h

Question 6

enoxaparin side effects

Answer 6

hematuria, haemorrhage, thrombocytopenia, anaphylactic reaction, bloody stools

hemmorhage, anemia, thrombocytopenia, bleeding
osteoporosis
hyperkalemia
eccymosis, hematoma

Question 7

enoxaparin nursing considerations

Answer 7

blood studies, platelet count (thrombocytopenia), report bleeding
do not use if: pregnant, child, diabetes, renal disease, hemophilia

anti factor Xa activity, renal studies, bleeding, ecchymosis, black stools, petechiae. Use soft toothbrush from bleeding gums, report bleeding, not OTC products

Question 8

enoxaparin drug classes

Answer 8

anticoagulant, antithrombotic

low molecular weight heparin

Question 9

heparin trade names

Answer 9

hepalean, heparin leo, hep-lock

Question 10

heparin drug class

Answer 10

anticoagulant, antithrombotic

Question 11

heparin effect

Answer 11

prevents deep vein thrombosis by preventing clotting

Question 12

why use heparin

Answer 12

prevent deep vein thrombosis
open heart surgery
clotting syndrome
atrial fibrillation with embolization
anticoagulant in transfusion & dialysis
maintain indwelling venipuncture device

Question 13

dosage heparin

Answer 13

80units/ kg or 18units/kg/h

Question 14

heparin routes of admin

Answer 14

SUBCUT, IV

Question 15

adverse effects heparin

Answer 15

hematuria, hemorrhage, thrombocytopenia, anemia

Question 16

heparin nursing implications

Answer 16

bleeding, hemorrhage, petechiae, eccymosis, black tarry stools
teach: patient to report bleeding in gums, urine, stool, skin

Question 17

warfarin trade names

Answer 17

coumadin, jantoven

Question 18

warfarin drug class

Answer 18

anticoagulant

Question 19

warfarin expected effect

Answer 19

prevent blood clots by depressing hepatic synthesis of vitamin K

Question 20

why use warfarin

Answer 20

arterial thromboembolism
MI
stroke
angina

Question 21

route admin warfarin

Answer 21

PO

Question 22

warfarin doses

Answer 22

2-4mg/day for 2-4 days then titrated based on prothrombin time

Question 23

warfarin adverse effects

Answer 23

hepatitis, hematuria, hemorrhage, agranulocytosis, leukopenia, eosinophilia, purple toe syndrome, exfoliative dermatitis

Question 24

warfarin black box:

Answer 24

monitor blood studies (occult blood, platelets)

Question 25

warfarin nursing implications

Answer 25

get INR

bleeding gums, petechiae, eccymosis, black tarry stools, hematuria, hemorrhage